Individual provider Active NPI

Caroline Witmer, NP

  • Adult Health Nurse Practitioner
  • Exton, PA
National Provider Identifier
1457123440
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP028493 Issued in PA
Practice address
860 Springdale Dr
Exton, PA 19341-2847
Phone
(610) 524-3703
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP028493 PA Primary

Addresses

Primary practice location

860 Springdale Dr
Exton, PA 19341-2847

Mailing address

700 Spring Line Dr
West Chester, PA 19382-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115000237 PA Practitioner - Nurse Practitioner 6002156205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

860 Springdale Dr
Suite 100
Exton, PA 19341-2834
Phone (610) 524-3703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP028493PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC CurrentSince Oct 26, 2023 Accepting new patients

Locations

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

30 Medical Center Blvd
Ste 303
Chester, PA 19013

860 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 524-3703

860 Springdale Dr
Exton, PA 19341
Phone (610) 524-3703

1930 S Broad St
Ste L
Philadelphia, PA 19145
Phone (215) 465-5878

520 Maple Ave
Ste 3
West Chester, PA 19380
Phone (484) 364-2824

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: caroline.witmer.1@3389.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1457123440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRING LINE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412847",
            "telephone_number": "610-524-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMER",
        "first_name": "CAROLINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP028493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.